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Gillen Ch 3: Task Oriented Approach to Stroke Rehab

Terms in this set (31)

Ecological
Which approach emphasizes the study of interaction between the person and the environment during everyday, functional tasks and the close linkage between perception and action (i.e. purposeful movement)
Systems
Which model of motor control is more interactive or heterarchical and emphasizes the role of the environment more than the earlier reflex-hierarchical model?
heterarchically
This is how the nervous system is organized, such that higher centers interact with the lower centers but do not control them.
affordances
Gibson's concept of ____ recognizes the close linkeage between perception and action in terms of what the information available in the environment means to a specific person.
Dynamical
____ systems theory proposes that behaviors emerge from the interaction of many systems and subsystems.
degrees of freedom
This is a way to describe the ways of performing a task available to persons (i.t. when one walks or brushes their teeth, they have many choices in how to perform the task)
self-organization
The stability of motor behaviors, which are unique to each person, provide evidence for what concept?
phase shifts
These are changes in perferred patterns of coordinated behavior to another that happens during periods of life (i.e. after a stroke, or due to aging)
control parameters
These are variable that shift behavior from one form to another, but do not control the change. They simply act as agents for reoganization of behavior into a new form
FALSE
True or False: The systems view suggest that normal development follows a rigid sequence, as demonstrated by by motor milestones.
Motor learning
A set of processes associated with practice or experience leading to relatively permanent changes in the capabilities of responding
random practice
repetitive practice of several tasks in a varied sequence within a practice session
Blocked practice
Repetitive practice of the same task within a practice session
more
Motor learning research has found that random practice is (more/less) effective than blocked practice.
whole
It is has been found in motor learning research that practicing (parts of/whole) tasks have been more effective
less
When providing feedback, it has been found that (more/less) is better and enhances learning
The systems model of motor behavior
This model supports the occupational therapy task-oriented approach and emphasizes that occupational performance tasks and role performance emerge from an interaction of the person and his or her environment.
Person
In the systems model of occupational performance, this concept consists of the cognitive, psychological, and sensorimotor subsystems.
Environment
In the systems model of occupational performance, this concept consists of the physical, cultural, and socioeconomic subsystems.
Functional
The assumption of the occupational therapy task-oriented approach is that ___ tasks help organize behavior
ocupational performance
This assumption of the occupational therapy task-oriented approach assumes that WHAT emerges from the interaction of persons and his or her environment.
variable
This assumption of the occupational therapy task-oriented approach assumes that recovery is ___ because patient factors and envrionmental contexts are unique.
role
The first step in the evaluation process is to assess ___ performance. (pg. 64)
compensatory
When behaviors are stable, and therefore will require a great amount of time and effort to change, what appraoch should an OT use?
remediation
When behaviors are unstable, and therefore in transition, which approach would be best for an OT to use?
Task analysis
This requires therapists to observe their patients performing one or more occupational performance tasks, and evaluate the activity demands, context, patient factors, perfomance skills, and performance patterns.
spasticity
What was thought by Bobath to the primary cause of motor decifits in the persons after stroke? (now it has been proven to be false)
initial learning
Blocked practice is only advised when?
minimal
When the client is approaching discharge, how much feedback should a therapist give?
adapt
For many patients, the quickest and most effective way to improve occupational performance is to __ the task or environment.
constraint-induced movement therapy
This form of therapy involves high intensity therapy while the less involves arm is constrained
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